Annex 13 - RER

The document is a reimbursement expense receipt template for a barangay, detailing the necessary information for reimbursement requests. It includes fields for the name of the payee, the amount received, the purpose of the payment, and signatures from both the payee and a witness. The template emphasizes the need for specific details regarding the payment, such as dates and points of travel.

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Annex 13 - RER

Uploaded by

Nestie Bryal Villaviray

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Available Formats

Download as XLSX, PDF, TXT or read online on Scribd

Annex 13

REIMBURSEMENT EXPENSE RECEIPT

SK of Barangay: RER No.:

City/Municipality: Date:
Province:

RECEIVED from ____________________________________________,

(Name)
_________________________________________________ the amount
(Official Designation)
of ___________________________________________ (P____________)
(In Words) (in Figures)
in payment for _______________________________________________
(Payments for subsistence, services,
___________________________________________________________
rental or transportation should show inclusive dates,
___________________________________________________________
purpose, distance, inclusive points of travel, etc.)

PAYEE
Name/Signature __________________________________________
Address ________________________________________________

WITNESS
Name/Signature __________________________________________
Address ________________________________________________

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Annex 13 - RER

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Annex 13 - RER

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Annex 13

REIMBURSEMENT EXPENSE RECEIPT

SK of Barangay: RER No.:

RECEIVED from ____________________________________________,

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